Individual
MICHAELLA-LYANNE T MISKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
22000 MARINE VIEW DR S, SUITE 202, DES MOINES, WA 98198-6233
(206) 380-5430
Mailing address
22000 MARINE VIEW DR S, SUITE 202, DES MOINES, WA 98198-6233
(206) 380-5430
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00023720
WA
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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